Individual provider Active NPI

Suhas G Kshirsagar, BAMS MD(AYU. INDIA)

  • Health Educator
  • Soquel, CA
National Provider Identifier
1679937924
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
3121 Park Ave
Ste D
Soquel, CA 95073-2920
Phone
(831) 462-3776
NPI assigned
Apr 12, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

3121 Park Ave
Ste D
Soquel, CA 95073-2920

Mailing address

3121 Park Ave
Ste D
Soquel, CA 95073-2920
Phone (831) 462-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1679937924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE",
            "address_2": "STE D",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732920",
            "telephone_number": "831-462-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE",
            "address_2": "STE D",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732920",
            "telephone_number": "831-462-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHIRSAGAR",
        "first_name": "SUHAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "BAMS MD(AYU. INDIA)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.